Request For Relief From Court Costs {3DC13}

Form 3DC13 - REQUEST FOR RELIEF FROM COURT COSTS; DECLARATION; ORDER. This form is used in the District Court of the Third Circuit in the State of Hawai‘i by individuals who are unable to afford court filing fees due to financial hardship. This form allows a filing party—either a plaintiff or a defendant—to formally ask the court to waive these fees under Hawai‘i Revised Statutes §607-4(b). The form includes a detailed financial declaration in which the applicant must provide information about their employment status, monthly income, housing situation, assets (such as real estate, bank accounts, and vehicles), and participation in public assistance programs like SNAP or SSI. It also asks for information about dependents and any additional sources of income. By submitting this form, the party declares under penalty of perjury that the information is true and requests that the court consider their financial circumstances when determining whether to grant a fee waiver. www.FormsWorkflow.com